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Indiana rates for HCPCS L2090

Hip Knee Ankle Foot Orthosis Torsion Control Unilateral Torsion Cable Ball Bearing Hip Joint Pelvic Band/ Belt Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.51 / $296.51 / $599.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.47 / $296.51 / $321.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.28 / $536.19 / $599.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.27 / $300.87 / $415.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.32 / $659.00 / $838.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.23 / $659.00 / $808.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.54 / $387.54 / $599.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $387.54 / $601.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.30 / $284.83 / $400.30